Organization
IONIA DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY ELIZABETH DOERING DDS (OWNER DENTIST)
(616) 558-8210
Entity
Organization
Contact information
Practice address
2264 S STATE RD, IONIA, MI 48846-2149
(616) 527-6777
Mailing address
PO BOX 510, IONIA, MI 48846-0513
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020643
MI
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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